Soda, in and of itself, is deeply ingrained in American culture. We drink it in our homes, our offices, at parties and especially at sports events. I fondly remember delving into the enjoyment and crisp taste of my uncle's caffeine-free Diet Coke as a child. In fact, I would look forward to drinking his "adult" soda anytime I was at my aunt and uncles' house (which was often as a child...they lived 3 houses down from mine in SW Houston). I would sit and watch TV with my uncle (after my homework was done of course and my potato chips with a side of ketchup were eaten!) and carefully demise a plot to steal his Diet Coke that sat next to him in a glass filled almost to the brim with ice.

And so my love affair with Diet Sodas began! And trust me, this love was intense!! In high school, I would enjoy an occasional diet fountain drink when eating fast food with friends, which occurred about once or twice a week. In addition, I'd indulge in the sweet calorie-free deliciousness of a diet soda during my lunch hour sometimes instead of an after-lunch dessert. By college, I was up to 1-2 diet sodas a day and by medical school, I was fully addicted, consuming three 16 oz Diet Pepsi bottles A DAY! You may as well have run a hosepipe of the stuff directly down my throat as that was exactly what I was doing while I studied.

In short, diet soda was my crack. I suffered daily, intense cravings for my sodas; often going to far lengths to obtain it. I never lost my grip on reality or an ability to function because of my addiction, but I was definitely hooked. At one point, my dental hygienist informed me of the high acid content of these sodas and it's potential wear on my teeth. At another point in time, I was warned of the osteoporotic (bone thinning) effects of the phosphates in diet sodas. But I didn't care...I was focused on when I'd get my next fix. Diet soda was not only a sweet after-meal treat for me, it also served as my caffeine fix. (I had not yet made the transition to coffee that only came in residency when I had no choice but to submit to a higher concentration of caffeine...to think of how much more efficient I could have been had I submitted earlier). To me, there was nothing better than a cold, freshly bought diet soda from fountain at restaurants, convenient shops, etc...that was heaven!(Btw, my transition to Diet Pepsi came in college when I discovered the sweeter taste of this brand to that of Diet Coke.)

Slowly, as medical school continued and the stress and lack of "me time" intensified, I began to notice some downfalls to my habit. A) I'd heard about possible health effects of aspartame and diet sodas in general, including neurotoxicity and osteoporosis, respectively; B) it was costly, about $5 a day to maintain at such high levels; C) my teeth were becoming yellower and seemed to becoming more translucent when I examined them in the mirror; and D) the GAS was unbearable!! So, slowly, I decided to switch to only Splenda-containing diet drinks. And suddenly, I felt better about the world.

But even then, the gas and tooth translucency continued. So much so, that it became physically painful to drink a soda. My life-long inability to burp (only my close friends know this about me) was coming back to haunt me! But no matter how hard I tried to learn to burp, the task was impossible. So, I did what most human beings do...I adapted. I would open my diet sodas (Pepsi One at this point) and carefully place them in my refrigerator so that they would not have any opportunity to spill. Then, after a few hours of "off-gassing", I would indulge. But even then, it was still painful to drink the small amounts of carbonation in the drinks. So, I adapted again...I left them open overnight and would enjoy them the next morning or afternoon. I was back in the game and much more comfortable!

But even then, I knew this was a habit I needed to break. Yes, aspartame and other sugar substitutes had been implicated in causing cancer in lab rats, but I knew that was in such extreme amounts that the odds of this happening to me was slim to none. But, as I learned more about the business of these products and the chemicals that are so pervasive in our food supply, I finally made the decision to break my addiction and forever free myself of cravings for diet soda. And so, the "Diet Soda Diet" began! As part of my diet, I only allowed myself ONE can of gas-less diet soda a day (Splenda only). Slowly, my cravings became less intense and less frequent and after a few months, I was no longer in the clutches of diet soda entrapment! I could once again enjoy a glass of water without thinking about when and where I'd get my next fix. I was free and so was the horribly painful, informidable gas I had lived with for >20 years!!

That doesn't mean that I don't still have occasional cravings for the chemically manufactured sweet drink, but I am definitely much more in control of my desires and am no longer a slave to them. To this day, there is often nothing more satisfying than a crisp, freshly opened can of diet soda (although I am very picky about which ones I will consume now), however, I generally limit my consumption to special events/occasions, such as birthdays, Super Bowl parties, etc.

The news that diet sodas may contribute to cardiovascular disease is not necessarily intuitive in my mind, but, it provides me with yet another weapon in my arsenal against a life-long addiction with the tasty chemically manufactured beverage. I hope my actions as a child, teenager and young adult can be overridden by the improvements I've made in my diet and physical well-being overall and I urge you to consider changing your habits towards the chemicals you may be addicted to (be it, diet sodas or processed meats, sugars, etc). I'm happy to help along the way and would LOVE to hear your diet "product" addiction story below!

DISCLAIMER: The content of this website does not serve as medical advice nor does it substitute for a thorough medicalevaluation by a qualified health care practitioner. It also does not represent the opinions of any of the medical institiutions or practitioners mentioned. Consult a physician or local health care provider before changing any medications, diet or exercise regimen.

Author

Dr. Maltz earned a Medical Degree and Master in Public Health from the University of Texas Medical Branch (UTMB) in Galveston, TX. She completed a combined Internal and Preventive Medicine Residency at UTMB in June, 2011. She is currently partaking in a 2-year Integrative Medicine Fellowship at Stamford Hospital in Stamford, CT, during which she will undergo an intensive 1000-hour curriculum created by The University of Arizona Integrative Medicine Program founded by Dr. Andrew Weil.

Dr. Maltz's specific interests include helping her patients and populations improve their health through lifestyle interventions including, but not limited to, natural pain relief, nutrition, mind-body techniques and decreasing environmental exposures. She spent the last year of her four-year medical residency participating in health policy, cancer prevention and environmental health rotations and enjoys guiding people through the overwhelming amount of health information available on the web.